0001209191-14-048732.txt : 20140723
0001209191-14-048732.hdr.sgml : 20140723
20140723202058
ACCESSION NUMBER: 0001209191-14-048732
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140722
FILED AS OF DATE: 20140723
DATE AS OF CHANGE: 20140723
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BIOLASE, INC
CENTRAL INDEX KEY: 0000811240
STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843]
IRS NUMBER: 870442441
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4 CROMWELL
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-361-1200
MAIL ADDRESS:
STREET 1: 4 CROMWELL
CITY: IRVINE
STATE: CA
ZIP: 92618
FORMER COMPANY:
FORMER CONFORMED NAME: BIOLASE TECHNOLOGY INC
DATE OF NAME CHANGE: 19941117
FORMER COMPANY:
FORMER CONFORMED NAME: LASER MEDICAL TECHNOLOGY INC
DATE OF NAME CHANGE: 19941117
FORMER COMPANY:
FORMER CONFORMED NAME: LASER ENDO TECHNIC CORP
DATE OF NAME CHANGE: 19920708
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CLARK PAUL N
CENTRAL INDEX KEY: 0001222248
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 14989787
MAIL ADDRESS:
STREET 1: 5301 STEVENS CREEK BLVD
STREET 2: MS 1A-LC
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-07-22
0
0000811240
BIOLASE, INC
BIOL
0001222248
CLARK PAUL N
4 CROMWELL
IRVINE
CA
92603
1
0
0
0
Common Stock, par value $0.001 per share
2014-07-22
4
P
0
520833
1.92
A
605954
I
By Trust
/s/ Michael C. Carroll, attorney-in-fact for Paul N. Clark
2014-07-23